Sovereign Medical Group LLC
Radiology, Diagnostic Radiology in Carlstadt, New Jersey
1841589298- Practice location
- 630 Broad St, Carlstadt, NJ 07072-1169
- Phone
- 201-372-1020
- Fax
- 201-372-1028
- Last updated
- June 9, 2011
Sovereign Medical Group LLC is a healthcare organization based in Carlstadt, NJ. Sovereign Medical Group LLC practices in Carlstadt, NJ. The NPI Number for Sovereign Medical Group LLC is 1841589298. The current practice location address for Sovereign Medical Group LLC is 630 Broad St, Carlstadt, NJ 07072-1169 and can be reached out via phone at 201-372-1020 and via fax at 201-372-1028.
Provider Profile Details
- NPI Number
- 1841589298
- Provider Name
- Sovereign Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 630 Broad St, Carlstadt, NJ 07072-1169
- Phone Number
- 201-372-1020
- Fax Number
- 201-372-1028
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Organization Subpart
- Yes
- Parent Organization
- Sovereign Medical Group LLC
- Authorized Official
- John H Hajjar, MD · Ceo · 201-791-4544
- Other Names
- New Jersey Institute Of Radiology PC (Doing Business As)
- Provider Enumeration Date
- April 6, 2011
- Last Update Date
- June 9, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 630 Broad St
Carlstadt, NJ 07072-1169 - City
- Carlstadt
- State
- New Jersey
- Zip
- 07072-1169
- Phone Number
- 201-372-1020
- Fax Number
- 201-372-1028
Provider Business Mailing Address Details
- Address
- 630 Broad St
Carlstadt, NJ 07072-1169 - City
- Carlstadt
- State
- NJ
- Zip
- 07072-1169
- Phone Number
- 201-372-1020
- Fax Number
- 201-372-1028
License Information
- Taxonomy (1)
- Nuclear Medicine, Nuclear Cardiology · 207UN0901X
- Taxonomy (2)
- Nuclear Medicine, Nuclear Imaging & Therapy · 207UN0902X
- Taxonomy (3)
- Radiology, Body Imaging · 2085B0100X
- Taxonomy (5)
- Radiology, Pediatric Radiology · 2085P0229X
- Taxonomy (6)
- Radiology, Vascular & Interventional Radiology · 2085R0204X
- Taxonomy (7)
- Radiology, Diagnostic Ultrasound · 2085U0001X
- Taxonomy (8)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sovereign Medical Group LLC?
The NPI number of Sovereign Medical Group LLC is 1841589298. It was assigned on April 6, 2011 and is currently active in the NPPES registry.
What is the specialty of Sovereign Medical Group LLC?
Sovereign Medical Group LLC is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X).
Where does Sovereign Medical Group LLC practice?
The practice location is 630 Broad St, Carlstadt, NJ 07072-1169. The office can be reached at 201-372-1020 (phone) or 201-372-1028 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841589298 directly on the NPPES registry website.